All-arthroscopic reconstruction of the anterior talofibular ligament is comparable to open reconstruction: a systematic review

医学 外科 关节镜检查 脚踝 并发症 纳入和排除标准 病理 替代医学
作者
Ulrike Wittig,Gloria Hohenberger,Martin Ornig,Reinhard Schuh,Andreas Leithner,Patrick Holweg
出处
期刊:EFORT open reviews [British Editorial Society of Bone and Joint Surgery]
卷期号:7 (1): 3-12 被引量:8
标识
DOI:10.1530/eor-21-0075
摘要

The aim of this study was to determine whether all-arthroscopic repair would lead to improved clinical outcomes, lower complication rates, shorter postoperative immobilization and earlier return to activity compared to open Broström repair in the surgical treatment of chronic lateral ankle instability (CLAI). A systematic literature search was conducted using Pubmed and Embase to identify studies dealing with a comparison of outcomes between all-arthroscopic and open Broström repair for CLAI. The search algorithm was 'ankle instability' AND 'Brostrom' AND 'arthroscopic' AND 'open'. The study had to be written in English language, include a direct comparison of all-arthroscopic and open Broström repair to treat CLAI and have full text available. Exclusion criteria were former systematic reviews, biomechanical studies and case reports. Overall, eight studies met the inclusion criteria and were included in the analysis. Clinical outcomes did not differ substantially between patients treated with either arthroscopic or open Broström repair. Studies that reported on return to activity and sports following surgery suggested that patients that had all-arthroscopic Broström repair returned at a quicker rate. Overall complication rate tended to be lower after arthroscopic Broström repair. Similar to open repair, all-arthroscopic ligament repair for CLAI is a safe treatment option that yields excellent clinical outcomes. Level of Evidence: Level III evidence (systematic review of level I, II and III studies).
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